Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

SIMON LEE M D A PROFESSIONAL CORP

NPI: 1194748541 · SAN FRANCISCO, CA 94108 · Internal Medicine Physician · NPI assigned 07/26/2006

$505K
Total Medicaid Paid
36,910
Total Claims
33,018
Beneficiaries
65
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialLEE, SIMON (PRESIDENT)
NPI Enumeration Date07/26/2006

Related Entities

Other providers sharing the same authorized official: LEE, SIMON

ProviderCityStateTotal Paid
SIMON LEE DENTAL CLEARLAKE CA $92K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 3,273 $20K
2019 4,704 $27K
2020 5,242 $30K
2021 6,097 $81K
2022 5,138 $76K
2023 5,739 $119K
2024 6,717 $153K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 17,745 14,443 $287K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 3,213 3,027 $89K
99483 Prolong outpt/office vis 1,202 1,193 $63K
99490 Ccm add 20min 1,105 1,103 $20K
99454 690 662 $17K
99497 689 680 $11K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 862 715 $3K
90756 230 230 $2K
90688 361 360 $2K
99439 98 98 $1K
90658 84 84 $1K
91320 86 85 $1K
G0442 Annual alcohol misuse screening, 5 to 15 minutes 743 732 $1K
G0446 Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes 193 191 $914.55
90653 41 41 $813.11
99429 54 53 $725.00
0134A 59 48 $564.00
90694 130 130 $351.13
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 621 517 $304.19
90662 50 49 $284.08
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 34 34 $263.01
90686 319 318 $167.94
0124A 20 17 $158.68
90480 60 60 $98.73
G0506 Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) 37 37 $82.86
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 1,560 1,548 $59.59
G0444 Annual depression screening, 5 to 15 minutes 455 446 $51.22
G0008 Administration of influenza virus vaccine 955 953 $18.00
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion 55 50 $7.01
3016F 536 530 $0.00
1160F 754 749 $0.00
1158F 427 425 $0.00
1159F 702 698 $0.00
4004F 120 119 $0.00
3078F 140 139 $0.00
1124F 130 128 $0.00
G9744 Patient not eligible due to active diagnosis of hypertension 22 22 $0.00
90670 30 30 $0.00
G9622 Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method 37 37 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 23 23 $0.00
4040F 18 18 $0.00
91313 45 45 $0.00
G8482 Influenza immunization administered or previously received 14 14 $0.00
G8783 Normal blood pressure reading documented, follow-up not required 17 17 $0.00
3096F 12 12 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 20 20 $0.00
2022F 12 12 $0.00
3077F 14 14 $0.00
3074F 267 264 $0.00
1157F 226 225 $0.00
3017F 119 117 $0.00
1170F 163 161 $0.00
3008F 366 358 $0.00
1101F 102 102 $0.00
3080F 240 238 $0.00
3075F 16 16 $0.00
1126F 35 35 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 193 190 $0.00
3066F 12 12 $0.00
3061F 107 106 $0.00
3014F 26 26 $0.00
1125F 120 119 $0.00
G0009 Administration of pneumococcal vaccine 41 41 $0.00
4010F 30 29 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 23 23 $0.00